【摘要】 目的 探讨腹腔镜下阻断子宫动脉行多发子宫肌瘤切除的手术方式、适应证和疗效。方法 回顾性分析72例腹腔镜下阻断子宫动脉行多发子宫肌瘤切除术的临床资料。结果 除1例阔韧带肌瘤靠近子宫动脉中转开腹外，余者手术均获成功。术中出血10～100ml，平均45ml，手术时间25～180min，平均67min，术后无严重并发症。结论 腹腔镜下阻断子宫动脉对多发性子宫肌瘤切除术是目前较为理想、安全有效的保留子宫的手术方法，它具有创伤小、手术快、术后并发症少等优点。

    【关键词】 腹腔镜检查；子宫动脉结扎；平滑肌瘤

    Laparoscopy-assisted multiple hysteromyomectomy by uterine artery blocking:a report of 72 cases

    DENG Qiao-ling,LI Gui-lin,ZHU Jin-ming.Maternity and Child Care Hospital,Xuzhou 221009,China

    【Abstract】 Objective To study operation mode,indications and effect of laparoscopy in treatment of myoma of uterus by blocking uterine artery.Methods 72 patients with multiple uterinal myoma underwent laparoscopic hysteromyomectomy by blocking uterine artery were retrospectively analyzed.Results All except one of 72 patients were successfully treated.One patient of broad ligament myoma was converted to laparotomy due to myoma adjoining to unterine artery.The mean bleeding volume was 45ml (10～100ml).The operating time vavied from 25 minutes to 180 minutes with a mean of 67 minutes.There was no complication after operation.Conclusion Mutiple Hysteromyomectomy by blocking uterine artery in laparoseopy is an ideal,safe and effective procedure charaterized by minimal invasion,rapid postoperative recovery and exerllent clinical efficacy. ......